by danaecgross (20 Posts), Thu Sep 06, 2012 07:14 am
So I am officially 34 weeks today! Hooray!
I had an appt yesterday with an ultrasound to check his position and growth. Unlike my last pregnancy (where my LO measured 14 days behind upon delivery), this baby is measuring 11 days ahead! I'm glad he's growing and can't believe he is already bigger than my last baby was at birth.
At my initial appt at 6 weeks, my BP was 100/60 and yesterday it was 136/92. They had me lay down and retook my BP while laying down.... yeah, I know, it's not accurate! Of course it was lower at 122/76. They said "oh much better!" and was going to send me on my way without a 24 hour urine! My in office dipstick was negative, but in my last pregnancy, I ended up with polyuria and actually produced over 6 liters so my samples were always too dilute for a dip to pick up protein. I requested a 24 hour urine anyway especially since I delivered at 35 weeks last pregnancy. I think they are annoyed with my persistence but I'm over caring what they think. The nurse even asked me if I was trying to have a repeat preterm delivery! Hmmmmm, of course not lady. Not on purpose!
So now that I am sitting here doing a 24 hour urine. It has me wondering what outcomes I can expect with abnormal results. I almost feel like a 24 hour urine is pointless, other than to recognize that there IS/ISN'T protein. I don't believe it is high enough for delivery, but I DO think there is SOME protein, maybe even over the diagnostic 300mg. So if it DOES come back with protein over the diagnostic criteria, what can I expect from my doctor? How far along in my pregnancy would they let me go? Do Drs give steroid shots for all preeclamptics before 35 weeks (I had steroid shots last time at 31 weeks)? My BP isn't incredibly high consistently, and baby is obviously doing fairly well with growth. I'm usually hyper vigilant with my care and always want to know what the labs say (other than go by symptoms) yet right now I feel like it doesn't matter because if I was sick or it was bad, I would have more symptoms. Does that make sense? The only thing about my last pregnancy is that I was spilling protein before my BP got really high. In fact, I think the highest BP reading I had then was 135/85 and that was only on a couple of occasions. Even when I spilled over 650mgs, my BP was 115/75. I feel educated about preeclampsia, but not on how to deal with it and the drs!
So, I guess I am wondering what to expect if my protein DOES come back elevated, even if only slightly. I turn my 24 hour urine in on Friday morning and I believe they are going to take blood also. My next appt is Wednesday and I think they'll discuss my results then. I'd like to be prepared for that appt on how to discuss the results and what to do if they are in fact abnormal. THANKS!
DD born 06/13/10 at 35 weeks, 4lbs 13oz, IUGR & Preeclampsia
PREGNANT AGAIN! EDD 10/18/12